Hospital
HQR and Joint Commission
CQMsolution® from Dynamic Health IT is a user-friendly, browser-based application for calculating, displaying, and generating clinical quality measure output. The software has received the latest ONC certification (2015 Edition Cures Update), compatible with Cypress 6.2.2.1. CQMsolution® supports all eCQMs, an expanding roster of non-eCQM MIPS measures. and Hospital Quality Reporting Program eCQMs (IQR and EHR).
Choose DHIT as your Data Submission Vendor
Hospital Quality Reporting (HQR) Program
Under the Inpatient Prospective Payment System (IPPS), CMS gives hospitals a financial incentive to track and report quality measures. Hospitals that do not participate or fail to meet requirements will see reduced reimbursement.
Hospital Quality Reporting to CMS encompasses the Inpatient Quality Reporting (IQR) Program and the Medicare and Medicaid Promoting Interoperability programs for Eligible Hospitals and Critical Access Hospitals.
Hospital Inpatient Quality Reporting (IQR)
The Hospital IQR Program is a quality reporting program with the goal of driving quality improvement through measurement and transparency. Hospitals participate by submitting data to CMS on measures of inpatient quality of care. CMS makes quality and cost measure data from the Hospital IQR Program available to the public. The Care Compare website presents hospital performance data in a consistent, unified manner to ensure the availability of information about the care delivered in the nation’s hospitals. Prior to the release of data on the public reporting website, hospitals are given the opportunity to review their data during a 30-day preview period via the Hospital Quality Reporting Secure Portal.
For the CY 2022 reporting period/FY 2024 payment determination, hospitals must:
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Report a total of four eCQMs. Hospitals are required to submit the Safe Use of Opioids – Concurrent Prescribing eCQM and self-select three available eCQMs from the measure set.
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Report three self-selected quarters (first, second, third, or fourth quarter 2022) of data for four eCQMs using EHR technology certified to the Office of the National Coordinator (ONC) for Health Information Technology’s existing 2015 Edition certification criteria, 2015 Edition Cures Update criteria, or a combination of both
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Submit eCQM data via the Hospital Quality Reporting Secure Portal by February 28, 2023, at 11:59 p.m. Pacific Time.
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Fulfilling the Hospital IQR Program eCQM requirement also satisfies the clinical quality measure reporting requirement for the Medicare Promoting Interoperability Program.
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CY 2022 reporting will apply to FY 2024 payment determinations for subsection (d) hospitals.
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What measures fit your hospital?
For the CY 2022 reporting period/FY 2024 payment determination and subsequent years:
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Hospitals may use a third-party vendor, such as DHIT to submit QRDA Category I files on their behalf or self report through HQR Secure Portal in QualityNet.
With the latest ONC certification, CQMsolution is the ideal tool to satisfy eCQM reporting requirements. CQMsolution outputs QRDA I files specifically formatted for submission to QualityNet.
For more information, please refer to the Electronic Clinical Quality Measure (eCQM) Overview web page on QualityNet and the eCQI Resource Center website (https://ecqi.healthit.gov).
2022 ORYX® Performance Measurement Program
In 2022, accredited hospitals will submit both electronic clinical quality measure (eCQM) and chart-abstracted measure data via The Joint Commission’s new Direct Data Submission Platform (DDSP) in the second half of 2022. A more specific timeline will be communicated when the platform launch date has been determined.
Data Submission Vendor
DHIT's extensive experience as an ORYX® submitter and authorized vendor enables us to assist our clients with reporting eCQMs as part of the overall hospital accreditation process. As a Data Submission vendor, not only can we calculate and compile eCQMs from your EHR data but we can electronically submit for you. CQMsolution supports all eCQMs for the latest edition of ONC Certification -- and that includes all eCQMs submitted to The Joint Commission (JHACO).
What is required?
The Joint Commission updated the 2022 ORYX® Performance Measure reporting requirements effective January 1, 2022. These updates affect reporting requirements for Joint Commission–accredited critical access hospitals and hospitals. Key updates include:
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Health Care Organizations (HCOs) that are required or elect to submit eCQMs are required to submit eCQM data for a minimum of three self-selected quarters, applicable to the services provided and patient populations served.
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If an HCO is required but is unable to submit eCQM data, the HCO must submit an extenuating circumstance request (ECR) form prior to the chart-abstracted deadline.
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HCOs must submit a new ECR form for each year and in no case may an HCO be granted an exception for more than five consecutive years.
What measures fit your hospital?
CQMsolution supports all eCQMs submitted to the JCAHO.